Major step in malaria prevention as three West African countries roll out vaccine.
In a significant step forward for malaria prevention in Africa, three countries—Benin, Liberia and Sierra Leone—today launched a large-scale rollout of the life-saving malaria vaccine targeting millions of children across the three West African nations. The vaccine rollout, announced on World Malaria Day, seeks to further scale up vaccine deployment in the African region.
Today’s launch brings to eight the number of countries on the continent to offer the malaria vaccine as part of the childhood immunization programmes, extending access to more comprehensive malaria prevention. Several of the more than 30 countries in the African region that have expressed interest in the vaccine are scheduled to roll it out in the next year through support from Gavi, the Vaccine Alliance, as efforts continue to widen its deployment in the region in coordination with other prevention measures such as long-lasting insecticidal nets and seasonal malaria chemoprevention.
Benin, which received 215 900 doses, has added the malaria vaccine to its Expanded Programme on Immunization. The malaria vaccine should be provided in a schedule of 4 doses in children from around 5 months of age.
“The introduction of the malaria vaccine in the Expanded Programme on Immunization for our children is a major step forward in the fight against this scourge. I would like to reassure that the malaria vaccines are safe and effective and contribute to the protection of our children against this serious and fatal diseases,” said Prof Benjamin Hounkpatin, Minister of Health of Benin.
In Liberia, the vaccine was launched in the southern Rivercess County and will be rolled out afterwards in five other counties which have high malaria burden. At least 45 000 children are expected to benefit from the 112 000 doses of the available vaccine.
"For far too long, malaria has stolen the laughter and dreams of our children. But today, with this vaccine and the unwavering commitment of our communities, healthcare workers and our partners, including GAVI, UNICEF and WHO, we break the chain. We have a powerful tool that will protect them from this devastating illness and related deaths, ensuring their right to health and a brighter future. Let's end malaria in Liberia and pave the way for a healthier, more just society," said Dr Louise Kpoto, Liberia’s Minister of Health.
Two safe and effective vaccines — RTS,S and R21 — recommended by World Health Organization (WHO), are a breakthrough for child health and malaria control. A pilot malaria vaccine programme in Ghana, Kenya and Malawi reached over 2 million children from 2019 to 2023, showing a significant reduction in malaria illness and a 13% drop in overall child mortality and substantial reductions in hospitalizations.
In Sierra Leone, the first doses were administered to children at a health centre in Western Area Rural where the authorities kicked off the rollout of 550 000 vaccine doses. The vaccine will then be delivered in health facilities nationwide.
“With the new, safe and efficacious malaria vaccine, we now have an additional tool to fight this disease. In combination with insecticide-treated nets, effective diagnosis and treatment, and indoor spraying, no child should die from malaria infection,” said Dr Austin Demby, Minister of Health of Sierra Leone.
Malaria remains a huge health challenge in the African region, which is home to 11 countries that carry approximately 70% of the global burden of malaria. The region accounted for 94% of global malaria cases and 95% of all malaria deaths in 2022, according to the World Malaria Report 2023.
“The African region is advancing in the rollout of the malaria vaccine – a game-changer in our fight against this deadly disease,” said Dr Matshidiso Moeti, WHO Regional Director for Africa. “Working with our member states and partners, we’re supporting the ongoing efforts to save the lives of young children and lower the malaria burden in the region.”
Aurelia Nguyen, Chief Programme Officer at Gavi, the Vaccine Alliance, noted: “Today we celebrate more children gaining access to a new lifesaving tool to fight one of Africa’s deadliest diseases. This introduction of malaria vaccines into routine programmes in Benin, Liberia, and Sierra Leone alongside other proven interventions will help save lives and offer relief to families, communities and hard-pressed health systems.”
Progress against malaria has stalled in these high-burden African countries since 2017 due to factors including climate change, humanitarian crises, low access to and insufficient quality of health services, gender-related barriers, biological threats such as insecticide and drug resistance and global economic crises. Fragile health systems and critical gaps in data and surveillance have compounded the challenge.
To put malaria progress back on track, WHO recommends robust commitment to malaria responses at all levels, particularly in high-burden countries; greater domestic and international funding; science and data-driven malaria responses; urgent action on the health impacts of climate change; harnessing research and innovation; as well as strong partnerships for coordinated responses. WHO is also calling attention to addressing delays in malaria programme implementation.
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Ghostlights where Phantom saves Duke or the Signal, and a week later (at a Wayne gala or some other place) Duke recognizes the light/aura coming from Danny
Putting off gala prep was perhaps not the best plan. Duke spent the past month insisting that everything is fine and he has it under control. Duke is also a lying liar who lies, and now he’s frantically trying to pick up his suit in time to get it dry cleaned and altered as necessary.
Alfred would be disappointed in him, but in Duke’s defense, he had to go out of town on a mission to bust a growing drug cartel, and then spent half a week visiting a shelter for metas on the run (unofficial and hidden away) to help everyone find new homes and learn to control their powers. These things take time!
Unfortunately, gala prep also takes time, and since it’s a charity gala for funding the education of every Gothamite student, it’s not one he can slip out of. The entire family is being strong-armed into attending and not making a scene until the donation period in the first half is over.
Duke knows he’s not the only one who’s scrambling to get ready for a gala that’s taking place in three days, but they’re not helping him, so it feels like he’s the only one messing up.
“Sorry!” he calls behind him as he sprints through a group of people.
He could have asked someone to drive him, but he knows they’re all busy and doesn’t want his own poor time management to cause problems for anyone else. Even though he’s sure Bruce is looking for an excuse to get out of a mandatory Wayne Enterprises board meeting that both Lucius and Tim dragged him to.
RIP Bruce. He will be missed.
The Diamond District is full of people walking the streets, sprinting between parked cars and waiting for their rides. They’re all dressed nicely, making him feel out of place. It’s a feeling that’s never left him since he joined the Waynes but it’s particularly bad when he’s left to navigate these spaces alone. Rich people and socialites are a different kind of human, one that Duke doesn’t care to understand; there’s greed in all of them, turning them heartless, and they can give as much as they want to charity but it won’t change the fact that all they do is a performance to make people like them, rather than a desire to do anything good.
The sooner this is over, the better. He keeps going, hoping that he can still make it to his appointment with the tailor. Alfred recommended the store, then set up the appointment, so all Duke has to do is trust their judgment as they get him fitted. He’s still got twenty minutes until the scheduled time, but some unspoken rule makes it so he has to show up fifteen minutes early for better service or risk being turned away and told to reschedule.
Duke slows to a walk when he catches sight of the store, the trying to catch his breath and look more composed before he reaches the door. He takes a moment to straighten his clothes a bit, then opens the door and steps in.
The bell jingles pleasantly above his head. The store is empty of any other customers, and the employee at the front counter looks up with a plastered on smile.
“I’ll be with you in a moment!” she says, then looks down at her phone and types something out before placing it under the counter. A tablet comes out instead and she swipes through a few screens, then sets it down and look at Duke again. “How can I help you, sir?”
“I have an appointment? For a suit fitting. Under the name Thomas.”
She taps on the screen for a minute, then nods and gives him another customer service smile. “Alright, I’ll go ahead and grab the tailor. They’ll be out with your suit soon. Please, feel free to take a seat or browse some of our suits. We just recently got a new collection in from Italy.”
“Sure, thanks. I’ll just… be here, I guess.”
The employee takes her tablet and disappears through a door, leaving him alone in the store. He doesn’t want to sit down, not while his heart is still trying to settle from his sprint through half of Diamond District, so Duke wanders around the neat stacks of dress shirts and vests, pants and belts and shoes lined up neatly against the walls.
He takes a moment to shoot Alfred a text that he’s at the tailor for his fitting appointment. Steph’s sent him a long string of videos online, and he’s just about to go through them when the bell rings again.
Duke glances up and watches a guy walk into the store. He looks around, makes eye contact with Duke, then quickly looks down, taking a seat by the door.
Probably another upper class citizen uncomfortable with the fact that someone in jeans and a hoodie is shopping for suits. Shaking his head lightly, Duke wanders deeper into the store to get some distance between them so they could ignore each other more easily. It’s only until the tailor comes out, and then he can go to a fitting room and be done with this whole thing, so Duke resigns himself to suffering through the tense silence.
How long is he even supposed to wait? He can only look at clothes in one of three colors before he gets bored.
He goes to another rack, trying to see if he can notice anything different about these shirts.
And then he hears a shoe scuff against the floor behind him. He tenses up, but before he can turn around, a belt is wound around his throat, pulling him back and choking him.
Duke drops his weight, tucking his chin and gets a hand against the inside of the belt to try to push it away. His back hits someone’s chest and he’s trapped, focused on trying not to be choked to death while also keeping his vigilante abilities and meta powers secret.
More footsteps come from behind, and a soaked cloth is pressed against his nose and mouth.
Chloroform, he realizes, familiar with the smell from Bruce’s training. But training isn’t enough to keep him from being knocked out, and he quickly slips away from the waking world, falling to the ground.
Just before he passes out completely, he hears the employee who greeted him say, “I’m not sure how much Wayne would be willing to pay for him, but let’s start high and negotiate lower. New kid can’t possibly be worth that much…”
Duke wakes up groggily, memories of what happened quickly snapping into place. He’s too out of it still to get up, but he’s awake enough to be offended. Sure he’s the new kid, and barely even a Wayne, but he’s still worth a lot!
Kidnappers these days. So rude.
He doesn’t hear anyone around him, and it feels like he’s lying on a cold concrete floor. Basement, maybe? Warehouse? Storage unit tucked away somewhere? There’s nothing much to see when Duke is able to open his eyes, squinting bareilly at his surroundings. His arms are tied behind him, wrists bound, but they left his legs alone.
If he could just hit the panic button on his bracelet…
Duke wiggles around, fighting through the lingering effects of Chloroform, and manages to sit up. If he strains his hearing, he thinks he can hear voices outside of the empty room he’s been left in. There’s a window high up, too high for a normal person to reach without help, but if he can use the shadows to travel through it, then he may be able to escape on his own.
First things first: he needs to free his hands before anyone comes in to check on him.
They used zip ties on him, which is inconvenient. He’s learned how to get out of them, but it’s difficult enough without being drugged and having to do it behind his back.
He’s feeling the zip ties bite into his wrists just as there’s a crash from outside the room. His kidnappers yell, alarmed, and are quickly silenced. That’s rarely ever a good sign. Duke renews his efforts to escape, ignore the pain in pushing against his binds like this.
The door opens. Duke hears the small click of a lock disengaging and freezes. Then he gets to his feet, still unsteady, and prepares to ram his head into anyone who comes near him like some sort of deranged battering ram, or a drunk raging bull.
Duke is ready for the worst: a gang hoping to steal away a Wayne hostage, a Rogue, Gnomon popping in to cause trouble for the sole purpose of getting on Duke’s nerve.
He’s not expecting another teenage boy, who is literally glowing, to poke his head in and zero in on Duke. He blinks, then smiles; it’s friendly and sincere, nothing like the employee who helped kidnap him.
“Hey!” he says, coming into the room properly. He’s floating a good foot off the ground, eyes a bright neon green, with white hair that sways as if he’s underwater. “Are you okay? I saw them drag you out of the back of the store and followed them, but I got a bit lost. Sorry for taking so long to get here.”
“...It’s fine?” Duke offers, trying to wrap his head around what’s happening. “I wasn’t expecting a rescue so soon, anyways. Think you can help me out here?”
“Yeah, of course!” he flies closer, then drops down to the ground behind Duke. He hums lightly under his breath, and then Duke feels a cold touch on his wrist and the zip ties are suddenly gone.
Duke blinks, then brings his arms in front of him. He moves around a bit to make sure he’s not hallucination, and sure enough, he’s free and unbound because a random meta teenager vanished the zip ties into the ether, or something.
“Thanks, man. Any idea where we are?”
“Not a clue. I got lost coming here, and I was following them. I don’t think you should trust any directions I give.”
“Fair enough,” Duke laughs. “I’m Duke, by the way.”
“Phantom.”
“Well, thanks for the save, Phantom. Can I treat you to something?”
“Like, coffee?”
“Sure. Or brunch, or ice cream. Whatever you want, really.”
Phantom considers it for a moment, then shakes his head. “Sorry, I would love to but going out in public looking like this,” he gestures to himself, “Is not a great idea. Thanks for the offer though. You got a ride?”
Duke pats his pockets, then sighs. “My phone’s gone. I still have my wallet, though.”
“I fly you to someplace you can call someone, if you’d like.”
“You sure? I could probably just walk out of here and call a taxi.”
“I don’t think walking around by yourself after being kidnapped is a great idea,” Phantom says, doubtfully. “Seriously, let me fly you.”
He should just hit the panic button and wait for someone to show up to get him. He shouldn’t go to some unknown location with a meta he literally just met.
But, you know what? No one else can say they got kidnapped twice in one day, so Duke nods and says, “Sure, sweep me off my feet, Phantom. You gotta commit to this rescue.”
Phantom laughs. And then he does sweep Duke off his feet into a princess carry with a cheeky grin and flies them out the building, which turns out to be an abandoned apartment building slated for demolition.
“Keep this up and you’ll be replacing Superman in no time,” Duke jokes.
“I think I could manage it,” Phantom replies thoughtfully. “I mean, I’m already prettier than him, don’t you think?”
“Oh, definitely. The glow really brings out your eyes.”
Phantom gets him a few blocks away when Duke recognizes where they are, and quickly directs him into Crime Alley. They land on top of one of Jason’s safe houses, and while he’s sure there’s enough security to take out a SWAT Team, that’s absolutely not going to stop him from breaking in to use one of Jason’s burner phones and eat his leftovers.
He’s set down on his feet gently, and as soon as Phantom sees that he’s fine, able to walk and everything, he floats back up, just out of reach.
“Be careful, okay?” he says, getting ready to leave.
“I’ll do my best. Hey, are you gonna be in Gotham for a while, or…?”
Phantom gives him a tired smile. “Nah. I’m just passing through. As long as my luck doesn’t get even worse, then I should be out of here in a few days.”
“Shame,” Duke says, giving Phantom a very visible once over. He’s pretty tall, and Duke can see some muscle on him, and the tight black outfit really adds to his look. The glow that comes out of his chest makes him look ethereal and Duke is beyond glad that he got such a charming rescuer.
Phantom doesn’t blush like a normal person. He glows brighter instead, curling into himself a bit as he looks away, unable to stop the smile from growing on his face.
“I guess,” he shrugs. “Are you really going to be alright from here?”
“Yeah, man, I have a friend who lives here. I’ll just bother him until he agrees to give me a ride.”
“Alright.” Phantom drifts away, glancing behind him before turning back to Duke. “I’ll get going then. Take care, Duke!”
Duke waves and watches as Phantom begins to fly away. Then Phantom… disappears? Or rather, his body does but Duke can see an orb of light making its way across Gotham, almost like a star fallen from the sky.
He stays on the roof until the light is long gone. When he’s finally ready to go in and steal from Jason, the sun has completely set.
And he still doesn’t have his suit.
Duke sighs, and mentally prepares himself to other day of stressing out about the gala.
Three days of stress and last minute scrambling leave Duke in the Gotham Museum of Modern Art with Steph, Tim, Cass, and Damian. They’re hiding in the photography gallery to avoid other guests, taking a break from being polite and letting thinly veiled, passive aggressive insults slide over them.
.
.
.
“How much longer must we suffer this before we can go?” Damian grumbles, looking like he’s do anything to get his hands on a blade. Which, considering how many people tried to either pinch his cheeks are say some racist remark about him and his mother, is totally fair. Duke would just punch them, but sometimes a little drama helped get the message across.
“At least two more hours,” Tim says, not bothering to look up from his phone. From what few glimpses of the screen Duke caught, he’s leading a Titans missions through text and clever hacking. Though it may be more accurate to call is a Young Justice mission since there’s no way any of this was authorized by a Justice League member.
Also Anita, suited up as Empress, is there. If they aren’t on the news for property destruction and absolutely batshit wild shenanigans, Duke will have to check on Tim to make sure he’s not a pod person sent to infiltrate the family.
“Think we can sneak out without anyone noticing?” Steph asks, looking at the emergency exit longingly.
Cass shakes her head and points to the door leading to the ballroom. When they look over, Dick makes very deliberate eye contact with them and give them a smile that looks stretched across his face.
Tim winces and pushes Duke. “Oh, something went down. Go take over for him and let Dick rest in here for a bit.”
“Man, why does it have to be me?” he grumbles even as he stands. Dick lets out a heavy breath and gives Duke a grateful smile, patting on the shoulder before shoving him out the door.
As soon as he’s back into the main hallway, the music and chatter swell, no longer muffled by the thick walls of the photography wing. A few people come and go from the ballroom, no doubt looking for the restroom.
Or more private places for… other things. Things they definitely shouldn’t be doing in an art museum.
He really can’t wait for this night to be over.
Duke joins the rest of the guests, fake smile on his face, and quickly makes his way to the snack table. He might as well make the most of his time stuck out here. Maybe he could even cause another relationship scandal by implying that Bruce is sleeping with one of partners when in hearing distance of a couple. Maybe even both of them.
Bruce would go with it. It’s hilarious and he also needs something to make these events bearable.
Sadly, he doesn’t see any good targets as he scans the ballroom. A few people are dancing, while others are talking in small circles, closed off from outsiders. There’s an entire table of old ladies with glasses of wine in front of them; Duke considers hanging around them, since they confess to a lot of crimes after a few glasses. It’s fascinating.
Also, he does kind of miss hanging out with the one old lady who’s declared herself his high society grandmother and told him stories of how she used to go to bars to find racist people or Klan members during the Jim Crow era, seduce them, then poison them and get their addresses so a few gangs she was friends with would fuck them up.
Granny Kaliasto is the coolest person ever.
Just as he’s about to finish his last mini rolled crepe, Duke catches sight of one of the few teenagers still in the ballroom. The others, mostly stuck up rich kids no one actually likes, have already left to take over some other part of the museum to gossip until their parents decide it’s time to go home. These two are clearly not part of that crew, what with the girl being very goth and in a poofy, ripped dress, and the boy having already taken his jacket off to keep over his forearm, the top button of his shirt popped open.
They might be cool. He’s hoping they’re cool because he desperately needs some company to keep from dying of boredom while the gala continues on.
Duke walks over to them, going around the side of the ballroom, until he’s close enough to hear them talking.
The boy has his back to Duke, but the girl sees him. She immediately scowls and slaps the boys shoulder, eyes locked on Duke.
“Got another comment about my dress?” she says, voice sharp and acidic.
“Another?” Duke repeats. “I was just bored and wanted to talk to people who were my age. Sorry?”
The boy smacks the girl’s arm, then turns to face Duke. “Sorry about her! Sam is just naturally rude and aggressive. Tonight’s been a bit rough, with this crowd.”
Duke goes to say something, but the words stick in his throat when he sees the boy’s eyes shift from deep blue to an electric green. When he focuses, he can see a faint glow in his chest, the same glow he saw in Phantom.
“Dude? You alright?”
Sam looks him over judgmentally. “I guess it’s nice that I’m not being ogled for once, but don’t do that shit to Danny either.”
“Wait, that’s not what I was doing!” Duke hurries to say, snapped out of his shock. “I just… you look a lot like someone I met recently.”
“Yeah?”
“Yeah. What was your name? I’m Duke, by the way.”
He holds out a hand, and the boy shakes it with a small smile. “Danny. I don’t think we’ve met. I mean, I’m only here because Sam wouldn’t come to this gala without me, so her parents flew me in.”
“You from out of town?”
“Sam and I are from Illinois. Her parents are traveling around the east coast right now, and they decided to spend a week in Gotham to talk business.”
“I’d ask how it is, but outsiders tend to really hate Gotham, so…”
Sam barks out a sharp laugh. “Oh please, we can handle Gotham. Our town might not be as big and well known as Gotham, but we got our own shit to deal with there.”
“I do get shot at a lot back home,” Danny adds thoughtfully. “And that’s without the ghosts.”
“Woah, what?”
“Up for a bit of a story?” Danny asks, impish grin on his face. By his side, Sam brings a hand up to cover a manic smile, shoulders already shaking with laughter.
This is already better than the grandma gang. Duke leans against the wall, getting settled in, and says, “Always, man. Hit me with it.”
The next hour an a half passes quickly with Sam and Danny dramatically narrating some of the things that have happened in their town. Duke listens, absolutely enraptured, and doesn’t even notice the Waynes file into the ballroom again.
Unfortunately, they bring with them the attention of most of the ballroom, including Bruce and Sam’s parents.
She cuts the current story about Box Ghost short with a heavy sigh. “Hold up, I need to greet the Waynes properly while my parents are watching.” She steps in front of Duke and Danny, holding out a hand with a pained smile.
Tim takes it first, giving a solid shake, and introductions start.
Free from the rules of high society, if only for the moment, Duke leans closer to Danny and whispers to him, “Phantom. Wanna get out of here?”
Danny flinches and turns to him looking panicked. “How did you know?”
“I kinda got magic eyes. I see a lot of things normal humans can’t. Don’t worry about it. I still owe you, so you wanna get out of here?”
He watches as Danny glances around the ballroom, then back to him, clearly weighing out his options. Then he nods and says, “Know where to get a good milkshake around here?”
“Sure do.”
“I guess you’re the one rescuing me this time.”
“Not a rescue,” Duke corrects, and casually picks Danny up over his shoulder into a fireman’s carry, “A kidnapping.”
Danny laughs and waves Sam and all the others goodbye as Duke marches out of the ballroom.
“Don’t bother me for the next two hours!” he calls to the Waynes, “I’m going on a date!”
There are shocked gasps and murmurs all through the crowd. But as he spins around to wave at his shocked and easily amused family, he also catches sight of Granny Kaliasto raising her half full wine glass towards him.
She really is the coolest.
He’s definitely telling her all about this at the next event they attend together. It’ll be nice to have a few stories of his own to share.
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